Progressive outer retinal necrosis: a missed diagnosis and a blind, young woman

BMJ Case Rep. 2013 Apr 22;2013:bcr2013009333. doi: 10.1136/bcr-2013-009333.


We present a 33-year-old woman with a history significant for HIV/AIDS (CD4 count of 17) and diabetes mellitus who was diagnosed as having progressive outer retinal necrosis (PORN) after presenting with peripheral vision loss. This case provided a diagnostic challenge and demonstrates the devastating effects of a misdiagnosis as it pertains to PORN.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Diabetes Complications
  • Diagnostic Errors
  • Disease Progression
  • Female
  • HIV Seropositivity
  • Humans
  • Magnetic Resonance Imaging
  • Retinal Necrosis Syndrome, Acute / diagnosis*
  • Retinal Necrosis Syndrome, Acute / virology*
  • Spinal Puncture